RT Journal Article
SR Electronic
T1 Cephalic Vein Cut-down for Totally Implantable Central Venous Access Devices With Preoperative Ultrasonography by Surgical Residents
JF In Vivo
JO In Vivo
FD International Institute of Anticancer Research
SP 2079
OP 2085
DO 10.21873/invivo.11707
VO 33
IS 6
A1 SHINTARO HASHIMOTO
A1 RYOTA OTSUBO
A1 MASAHIRO ADACHI
A1 RYOICHIRO DOI
A1 KENICHIRO SHIBATA
A1 ISAO SANO
A1 YOSHIHITO SHIBATA
A1 TAKAYUKI NAKAZAKI
A1 HIDEKI TANIGUCHI
A1 TAKESHI NAGAYASU
YR 2019
UL http://iv.iiarjournals.org/content/33/6/2079.abstract
AB Background/Aim: Cephalic vein (CV) cut-down for totally implantable central venous access devices (TICVADs) is not frequently used due to its low success rate. We compared the outcomes of CV cut-down using preoperative ultrasonography (US) performed by experienced surgeons versus surgical residents. Patients and Methods: From December 2015 to December 2017, 10 surgeons implanted 212 TICVADs using CV cut-down with preoperative US. The surgeons were divided into two groups of five each: surgical residents (Group A, n=124 procedures) and experienced surgeons (Group B, n=88 procedures). Duration of operation time, completion rate, and complications were retrospectively analyzed. Results: The completion rate was significantly higher in Group A (98.4% versus 92.0%, p=0.04). Duration of operation time (45.2±14.5 versus 42.0±13.1 minutes, p=0.22), rates of early complications (1.6% versus 1.1%, p=0.77) and late complications (3.2% versus 2.3%, p=0.68) were equivalent between the two groups. No fatal complications occurred in either group. Conclusion: CV cut-down can be safely performed by surgical residents under the use of preoperative US.